1306807045 NPI number — DR. MANISHA G ABEYSINGHE MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306807045 NPI number — DR. MANISHA G ABEYSINGHE MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ABEYSINGHE

Provider First Name:

MANISHA

Provider Middle Name:

G

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1306807045

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/07/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 2470

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

FLEMINGTON

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08822-2470

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

908-284-5295

Provider Business Mailing Address Fax Number:

908-806-3478

Provider First Line Business Practice Location Address:

4 WALTER E FORAN BLVD

Provider Second Line Business Practice Location Address:

STE 302

Provider Business Practice Location Address City Name:

FLEMINGTON

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08822-4664

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

908-806-0080

Provider Business Practice Location Address Fax Number:

908-806-8570

Provider Enumeration Date:

03/31/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207V00000X , with the licence number:  25MA07776600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 103163 . This is a "LOCAL 825" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 2278171 . This is a "FIRST HEALTH/CCN" identifier . This identifiers is of the category "OTHER".
• Identifier: 2483455 . This is a "UNITED" identifier . This identifiers is of the category "OTHER".
• Identifier: 2K8995 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
• Identifier: 5414309 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 223702560 . This is a "QUALCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 0053031 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: 60011606 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 7783586 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 2410314000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 26856601 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
• Identifier: 935374 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
• Identifier: P3473221 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".